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32 - Ultrasound Procedures in Trauma

Published online by Cambridge University Press:  18 January 2010

By
Paul Soeding  and
Peter Hebbard
Edited by
Charles E. Smith
Paul Soeding
Affiliation:
Department of Anaesthesia and Pain Management, Department of Pharmacology, Royal Melbourne Hospital, University of Melbourne, Carlton, Victoria, Australia
Peter Hebbard
Affiliation:
Department of Anaesthesia and Pain Management, Department of Pharmacology, Northeast Health Wangaratta, School of Rural Health University, Melbourne, Victoria, Australia
Charles E. Smith
Affiliation:
Case Western Reserve University, Ohio
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Summary

Objectives

  1. Identify the role of ultrasound in trauma.

  2. Understand the technique of neurovascular examination.

  3. Identify normal neurovascular appearance and injury.

  4. Understand ultrasound-guided regional anesthesia.

  5. Understand ultrasound-guided vascular cannulation.

SUMMARY

Ultrasound examination plays an increasingly important role in trauma management and anesthesia. Sonographic examination of peripheral nerves and vasculature can not only assess injury, but also guide needles for vascular access and regional anesthesia. Ultrasound-guided cannulation of arteries and veins allows invasive hemodynamic monitoring and fluid resuscitation in the trauma patient. Regional anesthesia provides immediate analgesia of injured limbs and enables specific surgical intervention. This chapter focuses on neurovascular anatomy and its recognition by ultrasound. The examination and identification of individual sonoanatomy is the basis for all ultrasound-guided procedures.

INTRODUCTION

The recent development of portable high-frequency ultrasound units has made ultrasound examination an important component in the assessment of the trauma patient. Trauma management requires both resuscitation and careful systematic assessment of individual wounds, both evident and suspected. Injury, however, can often be difficult to evaluate, especially when injury is concealed, such as in the case of blunt abdominal trauma or neurovascular injury associated with limb fractures. Sonography can be applied first as a diagnostic tool in the individual patient, and second, as a guide in therapeutic procedures [1].

Focused sonographic examination of the chest and abdomen can identify internal organ injury and hemorrhage, while examination of injured limbs can identify underlying musculoskeletal injury.

Type
Chapter
Information
Trauma Anesthesia , pp. 499 - 513
Publisher: Cambridge University Press
Print publication year: 2008

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References

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  • Ultrasound Procedures in Trauma
    • By Paul Soeding, Department of Anaesthesia and Pain Management, Department of Pharmacology, Royal Melbourne Hospital, University of Melbourne, Carlton, Victoria, Australia, Peter Hebbard, Department of Anaesthesia and Pain Management, Department of Pharmacology, Northeast Health Wangaratta, School of Rural Health University, Melbourne, Victoria, Australia
  • Edited by Charles E. Smith, Case Western Reserve University, Ohio
  • Book: Trauma Anesthesia
  • Online publication: 18 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547447.035
Available formats
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Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Ultrasound Procedures in Trauma
    • By Paul Soeding, Department of Anaesthesia and Pain Management, Department of Pharmacology, Royal Melbourne Hospital, University of Melbourne, Carlton, Victoria, Australia, Peter Hebbard, Department of Anaesthesia and Pain Management, Department of Pharmacology, Northeast Health Wangaratta, School of Rural Health University, Melbourne, Victoria, Australia
  • Edited by Charles E. Smith, Case Western Reserve University, Ohio
  • Book: Trauma Anesthesia
  • Online publication: 18 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547447.035
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Ultrasound Procedures in Trauma
    • By Paul Soeding, Department of Anaesthesia and Pain Management, Department of Pharmacology, Royal Melbourne Hospital, University of Melbourne, Carlton, Victoria, Australia, Peter Hebbard, Department of Anaesthesia and Pain Management, Department of Pharmacology, Northeast Health Wangaratta, School of Rural Health University, Melbourne, Victoria, Australia
  • Edited by Charles E. Smith, Case Western Reserve University, Ohio
  • Book: Trauma Anesthesia
  • Online publication: 18 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511547447.035
Available formats
×